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The Health and Work Service - Scotland, UK

The Health and Work Service - Scotland, UK. Dr Alastair Leckie Consultant in Occupational Medicine OHSAS Medical advisor to Scottish Government. Background History of Scottish service How service will be delivered in Scotland Milestones How you might contribute Q&As.

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The Health and Work Service - Scotland, UK

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  1. The Health and Work Service- Scotland, UK Dr Alastair Leckie Consultant in Occupational Medicine OHSAS Medical advisor to Scottish Government

  2. Background • History of Scottish service • How service will be delivered in Scotland • Milestones • How you might contribute • Q&As

  3. The Service will use a supportive, biopsychosocial approach with case management follow up to help ensure individuals return to work as quickly as appropriate. Individualised Return to Work Plans (RtWPs) can be used to replace fit notes as evidence for sickness absence for the duration specified in the plan. *the RTWP will be provided for the employee and shared with the GP and/or employer, with the employee’s consent. Other evidence* Other evidence* Evidence of sickness absence 7 day self-certification period GP fit note Return to Work Plan Employee on sickness absence Referral by GP Return to Work HWS Assessment RtWP produced* Employee goes on sickness absence Employee journey Referral by employer Discharge Follow up Case Management 6 weeks absence 4 weeks absence

  4. The Health and Work Service will be delivered across Great Britain, with a unified brand and scope England & Wales External procurement Health Management Ltd Scotland Agency agreement with Scottish Government to deliver on behalf of DWP Overall Same service & outputs across GB

  5. Programme In Scotland • Programme Board • Implementation Group • AdviceServices, Website & Advice Line – NHS24 & SCHWL • Enrolment – NHS 24 • Assessment & Return to Work Planning – Salus • Medical Advisor • Stakeholders • Additional Advisors, e-health, marketing, Expert Panel Glasgow Uni, finance, legal, project management etc

  6. DWP - - - - - - - - -

  7. Key Issues/Milestones • Go Live on 15th December 2014 • Phased introduction with full service by March 2015 • Estimated volumes running at estimated potential 50k employees per annum • Clear criteria and service specification • Assessment & advice – not funded for intervention • Telephone based model • Scottish Service – expansion & redesign of WHSS • Performance managed by DWP to same standard as England & Wales

  8. How can you help? • Questions now • Engage with your employers/OHDs • Work out how you are going to engage with HWS • Identify any issues • Share issues today • Share solutions today!

  9. Interaction between HWS and OH • Very similar to current fit notes • RtWP may suggest OH involvement • RtWP can be amended to include further information from employer or their OHS • OHS may take over

  10. Answers?

  11. Employers • Input to service • Adjusting SA policies • Information gap • Practical issues re contacting service • RTWP input • Certification (legal standing) • What does employer get • Who is responsible for action on advice

  12. Employers more • Workplace knowledge • Signposting • Current OH provision • Tax relief • RTWP before assessment completed • Consent

  13. OH • Fit with existing OH provision • Conflict of advice • Disinvestment • Resourcing small number of OH professionals • Who will deliver

  14. Marketing communications • Key messages • Detailed description of service • GP engagement • Employer engagement

  15. Long term conditions • F2f assessments • Support for mental health

  16. 2nd workshop • Engagement • Employers and HAWS • OH and HAWS • Marketing/information

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